Resilience of gastric cancer patients undergoing chemotherapy:a latent profile analysis
LI Xun
WANG Xiaoqing
ZOU Yanling
ZHANG Ziyan
LI Yi
DUAN Peibei
Abstract：Objective:To explore the potential categories of resilience in gastric cancer patients undergoing chemotherapy and to analyze the factors influencing different potential categories based on Kumpfer's resilience framework(KRF).Methods:Totally 265 patients undergoing chemotherapy for gastric cancer in the oncology department of a tertiary grade A hospital in Jiangsu province from December 2021 to November 2022 were surveyed using the General Information Questionnaire,Connor and Davidson's Resilience Scale(CD-RISC),Fear of Disease Progression Simplified Scale(FoP-Q-SF),General Self-Efficacy Scale(GSES),Medical Coping Style Scale(MCMQ),and Social Support Rating Scale(SSRS).Latent Profile analysis(LPA)was used to explore the potential categories of resilience among gastric cancer patients undergoing chemotherapy.Single-factor analysis,analysis of variance,and multinomial logistic regression analysis were used to identify the factors associated with the potential categories of resilience.Results:The LPA divided the resilience of gastric cancer chemotherapy patients into 4 potential categories,namely,low resilience group(17.7%),medium resilience group(47.6%),medium-high resilience group(26.8%),and high resilience-volatility group(7.9%).Multiple logistic regression analysis revealed fear of disease progression,self-efficacy,coping style(confrontation dimension,submission dimension),and social support as influencing factors for potential categories of resilience(P＜0.05).Conclusion:The resilience of patients undergoing chemotherapy for gastric cancer is characterized by distinct categories.Healthcare professionals should develop targeted and personalized care measures according to the characteristics and influencing factors of their different potential categories to improve the level of mental resilience of patients.
Keywords：gastric cancerresiliencefear of disease progressionself-efficacymedical coping stylesocial supportlatent profile analysis
Publication Date：2024-05-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 1556-1564 )